Closed-loop controlled inspired oxygen concentration for mechanically ventilated very low birth weight infants with frequent episodes of hypoxemia

Pediatrics

Volumn 107, Issue 5, 2001, Pages 1120-1124

  Claure, Nelson ^a   Gerhardt, Tilo ^a   Everett, Ruth ^a   Musante, Gabriel ^a   Herrera, Carmen ^a   Bancalari, Eduardo ^a  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

Author keywords

Automatic FIO2 adjustment; Closed loop FIO2 control; FIO2; Hypoxemic episodes; Mechanical ventilation; Preterm infant

Indexed keywords

ALGORITHM; ARTERIAL OXYGEN SATURATION; ARTICLE; ARTIFICIAL VENTILATION; BIRTH WEIGHT; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; HUMAN; HYPOXEMIA; INFANT; NEWBORN INTENSIVE CARE; PREMATURITY; PRIORITY JOURNAL; PULSE OXIMETRY; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME; VERY LOW BIRTH WEIGHT;

ALGORITHMS; ANOXEMIA; HUMANS; HYPEROXIA; INFANT, NEWBORN; INFANT, PREMATURE; INFANT, VERY LOW BIRTH WEIGHT; NEONATAL NURSING; POSITIVE-PRESSURE RESPIRATION; PULMONARY VENTILATION; RESPIRATION, ARTIFICIAL; RESPIRATORY FUNCTION TESTS;

EID: 0035003847     PISSN: 00314005     EISSN: None     Source Type: Journal    
DOI: 10.1542/peds.107.5.1120     Document Type: Article

References (25)

1. Durand M, McEvoy C, MacDonald K. Spontaneous desaturations in intubated very low birth weight infants with acute and chronic lung disease. Pediatr Pulmonol. 1992;13:136-142
2. Bolivar JM, Gerhardt T, Gonzalez A, et al. Mechanisms for episodes of hypoxemia in preterm infants undergoing mechanical ventilation. J Pediatr. 1995;127:767-773
3. Dimaguila MA, DiFiore JA, Martin R, Miller M. Characteristics of hypoxemic episodes in very low birth weight infants on ventilatory support. J Pediatr. 1997;130:577-583
4. McEvoy C, Durand M, Hewlett V. Episodes of spontaneous desaturations in infants with chronic lung disease at two different levels of oxygenation. Pediatr Pulmonol. 1993;15:140-144
5. McEvoy C, Mendoza ME, Bowling S, Hewlett V, Sardesai S, Durand M. Prone positioning decreases episodes hypoxemia in extremely low birth weight infants (1000 grams or less) with chronic lung disease. J Pediatr. 1997;130:305-309
6. Penn JS, Henry MM, Tolman BL. Exposure to alternating hypoxia and hyperoxia causes severe proliferative retinopathy in the newborn rat. Pediatr Res. 1994;36:724-731
7. Saito Y, Omoto T, Cho Y, Hatsukawa Y, Fijimura M, Takentchin T. The progression of retinopathy of prematurity and fluctuation in blood gas tension. Graefes Arch Clin Exp Ophthalmol. 1993;231:151-156
8. Reynaud X, Dorey CK. Extraretinal neovascularization induced by hypoxic episodes in the neonatal rat. Invest Ophthalmol Vis Sci. 1994;35: 3169-3177
9. Phelps DL, Rosenbaum A. Effects of marginal hypoxemia on recovery from oxygen-induced retinopathy in the kitten model. Pediatrics. 1984; 73:1-6
10. Flynn JT, Bancalari E, Snyder ES, et al. A cohort study of transcutaneous oxygen tension and the incidence and severity of retinopathy of prematurity. N Engl J Med. 1992;326:1050-1054
11. O'Brodovich HM, Mellins RB. Bronchopulmonary Dysplasia: unresolved neonatal acute lung injury. Am Rev Respir Dis. 1985;132:694-709
12. Frank L. Antioxidants, nutrition and bronchopulmonary dysplasia. Clin Perinatol. 1992;19:541-562
13. Saugstad O. Oxygen toxicity in the neonatal period. Acta Paediatr Scand. 1990;79:881-892
14. Davis JM, Dickerson B, Metlay L, Penney DP. Differential effects of oxygen and barotrauma on lung injury in the neonatal piglet. Pediatr Pulmonol. 1991;10:157-163
15. Beddis JR, Collins P, Levy NM, Godfrey S, Silverman M. New technique for servo-control of arterial oxygen tension in preterm infants. Arch Dis Child. 1979;54:278-280
16. Dugdale RE, Cameron RG, Lealman GT. Closed-loop control of the partial pressure of arterial oxygen in neonates. Clin Phys Physiol Meas. 1998;9:291-305
17. Bhutani VK, Taube JC, Antunes MJ, Delivoria-Papadopoulos M. Adaptive control of the inspired oxygen delivery to the neonate. Pediatr Pulmonol. 1992;14:110-117
18. Sun Y, Kohane IS, Start AR. Computer-assisted adjustment of inspired oxygen concentration improves control of oxygen saturation in newborn infants requiring mechanical ventilation. J Pediatr. 1997;131: 754-756
19. 2 in the neonate. Biomed Instrum Technol. 1992;26:117-123
20. Teague WG, Pian MS, Heldt GP, Tooley WH. An acute reduction in the fraction of inspired oxygen increases airway constriction in infants with chronic lung disease. Am Rev Respir Dis. 1988;137:861-865
21. Tay-Uyboco JS, Kwiatkowski K, Cates DB, Kavanagh L, Rigatto H. Hypoxic airway constriction in infants of very low birth weight recovering from moderate to severe bronchopulmonary dysplasia. J Pediatr. 1989;115:456-459
22. Unger M, Atkins M, Briscoe WA, King TKC. Potentiation of pulmonary vasoconstrictor response with repeated intermittent hypoxia. J Appl Physiol. 1977;43:662-667
23. Halliday HL, Dumpit FM, Brady JP. Effects of inspired oxygen on echocardiographic assessment of pulmonary vascular resistance and myocardial contractility in bronchopulmonary dvsplasia. Pediatrics. 1980;65:536-540
24. Custer JR, Hales CA. Influence of alveolar oxygen on pulmonary vasoconstriction in newborn lambs versus sheep. Am Rev Respir Dis. 1985; 132:326-331
25. Abman SH, Wolfe RR, Accurso FJ, Koops BL, Bowman CM, Wiggins JW. Pulmonary vascular response to oxygen in infants with severe bronchopulmonary dysplasia. Pediatrics. 1985;75:80-84